Active NPI
Avery Rose Wasmanski, M.ED., LPC
- Mental Health Counselor
- Pottstown, PA
National Provider Identifier
1346507043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC009623
- Practice address
- 1610 Medical Dr Ste 310
Pottstown, PA 19464 - Phone
- (610) 970-5000
- Fax
- (610) 970-3331
- NPI assigned
- Apr 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC009623 | PA | Primary |
Addresses
Primary practice location
1610 Medical Dr Ste 310
Pottstown, PA 19464
Mailing address
25 W Cherry LN
Royersford, PA 19468-1301
Phone (484) 995-1190
Other names 1
- Avery Rose Carter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC009623 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531353600000",
"number": "1346507043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 W CHERRY LN",
"city": "ROYERSFORD",
"state": "PA",
"postal_code": "194681301",
"telephone_number": "484-995-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 MEDICAL DR STE 310",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "19464",
"telephone_number": "610-970-5000",
"fax_number": "610-970-3331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASMANSKI",
"first_name": "AVERY",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "M.ED., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-19",
"last_updated": "2018-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC009623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AVERY",
"last_name": "CARTER",
"middle_name": "ROSE",
"credential": "M.ED.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pottstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.